Provider Demographics
NPI:1841245891
Name:CONNAGHAN, MARGARET E (APRN)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:E
Last Name:CONNAGHAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-2901
Mailing Address - Country:US
Mailing Address - Phone:860-210-5350
Mailing Address - Fax:860-350-2893
Practice Address - Street 1:23 POPLAR STREET
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776-2915
Practice Address - Country:US
Practice Address - Phone:860-210-5350
Practice Address - Fax:860-350-2893
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001983363L00000X, 364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTP54811Medicare UPIN